Provider Demographics
NPI:1851352595
Name:SHEFFIELD, JEFFREY CLARK (PHD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:CLARK
Last Name:SHEFFIELD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11075 S STATE ST
Mailing Address - Street 2:SUITE 28
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-5164
Mailing Address - Country:US
Mailing Address - Phone:801-501-8444
Mailing Address - Fax:801-501-7317
Practice Address - Street 1:11075 S STATE ST
Practice Address - Street 2:SUITE 28
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-5164
Practice Address - Country:US
Practice Address - Phone:801-501-8444
Practice Address - Fax:801-501-7317
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5638408-2501103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling